心室颤动作为心脏结节病的初始表现。
Ventricular fibrillation as an initial manifestation of cardiac sarcoidosis.
作者信息
Latif Azka, Patel Apurva D, Kuniyoshi Jason, Kapoor Vikas, Aggarwal Gaurav, Khan Behram Ahmed, Koster Nancy
机构信息
Department of Internal Medicine, CHI Health Creighton University, Omaha, Nebraska.
Department of Internal Medicine, Newark Beth Israel Medical Center, Jersey City, New Jersey.
出版信息
Proc (Bayl Univ Med Cent). 2020 Jul 13;33(4):655-657. doi: 10.1080/08998280.2020.1785814.
Abstract
Cardiac sarcoidosis is a rare immunologically driven process seen in 2% to 5% of patients with systemic sarcoidosis. We present a 31-year-old woman who presented after a ventricular fibrillation cardiac arrest. A comprehensive diagnostic workup was unrevealing. Despite negative cardiac magnetic resonance imaging, positron emission tomography facilitated the diagnosis. This case illustrates both the limitations of the diagnostic workup of sarcoidosis and the usefulness of positron emission tomography in the early diagnosis of cardiac sarcoidosis.
摘要
心脏结节病是一种罕见的由免疫驱动的疾病，见于2%至5%的系统性结节病患者。我们报告一名31岁女性，她在心室颤动心脏骤停后就诊。全面的诊断检查未发现异常。尽管心脏磁共振成像结果为阴性，但正电子发射断层扫描有助于诊断。该病例既说明了结节病诊断检查的局限性，也显示了正电子发射断层扫描在心脏结节病早期诊断中的作用。
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